Laparoscopy in Infertility Treatment

Laparoscopy is a surgical procedure that involves insertion of a narrow telescope like instrument through a small incision in or around the umbilicus. This allows the visualization of the abdomen and pelvic organs including the uterus, Fallopian tubes and ovaries.

Through laparoscopy, the fertility doctor will be able to see the abnormalities that might interfere with a women’s ability to conceive.

The polycystic ovaries, endometriosis, other cysts in the ovaries can be diagnosed.

Diagnosis for:

  • Hydrosalpinx
  • Ectopic
  • Pocketing
  • Blockage in the fallopian tubes.
  • Fibroids and other masses in the uterus.
  • Adhesions all over.

If any defects are found, they then can be corrected at the same time.

In general, semen analysis, hysterosalpingogram, assessment of ovulation and ovarian reserve should be the initial investigations and if no cause of infertility found, laparoscopy should be done.

Performed under general anesthesia, a laparoscope which is a thin fibro optic telescope is inserted into the abdominal cavity. The fiber optics allows light to enter and the carbon dioxide gas helps in separation of the various abdominal organs for clear vision.

 

Advantages of laparoscopy in infertility

Helps in the diagnosis of infertility

  • A woman with severe endometriosis can be identified, by USG but a woman with mild endometriosis can only be diagnosed by laparoscopy
  • Adhesion – cannot be seen with USG, Xrays, CT scans. They can interfere with the ability to conceive if they make it more difficult for the egg to get into the Fallopian tubes at the time of ovulation.
  • Small incision
  • Shorter hospital stay
  • Less adhesion

Infertility Treatment

Statistics say that about eighty percent of the couple that approach for infertility treatment can be treated by counselling alone and it is only twenty percent of them that require some form of infertility treatment.

Infertility

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Infertility Diagnosis

Infertility diagnosis is performed initially, by collecting complete medical history and physical examination. It will then followed by diagnostic tests for infertility. The common tests are urine tests, blood tests, …….

Infertility Causes

As the age increases the ovarian reserve (total no of eggs) in the ovary will significantly come down (especially after 33 years) and there seems to be issues in women like fibroid, endometriosis etc which ……

IVF Treatment Procedures

IVF (Invitro Fertilisation) refers to a procedure where women’s egg are removed and fertilized with man’s sperm outside the body in the laboratory. The embryos thus formed are then put back into the uterus ….

Intra Uterine Insemination

IUI and AI are one and the same fertility treatment. A small tube is used to place specially washed sperm directly into the uterus. While fertility drugs are not always used during IUI, most doctors ……

IVF Treatment

While every fertility clinic’s IVF protocol will be slightly different and IVF treatment are adjusted for a couple’s individual needs, here is a step-by-step breakdown of what generally takes place during an ……

OHSS

With ovarian hyperstimulation syndrome (OHSS), though, the ovaries become dangerously enlarged with fluid. This fluid can leak in to the belly and chest area, leading to complications. If your doctor …..

Female Infertility

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Fertility Medication

The objective of the fertility treatment is optimization  of outcome with minimization is opting of risk. A flexible dosing during stimulation is essential for optimizing the cycle outcome.

Ovulation Analysis

Ovulation analysis is the process by which the fertility is assessed to find the fertile window and general assessment. Various methods exist for ovulation testing. Various methods exist for ovulation testing.

Hysterosalpingogram

It is used to know whether the fallopian tubes of the patient are blocked and whether blockage is at the junction of tube of uterus (proximal) or at the distal end. Radiographic contrast dye is …….

Cryopreservation

Cryopreserving agents that minimize damage to the cells during freezing and thawing process. Semen cryopreservation also called sperm banking is a procedure to preserve sperm cells.

Ultrasound Assessment

Transvaginal sonography is one of the indispensable investigation as far as infertility patient is concerned. It is non-invasive and the single test that parallels to clinical assessment. Assessing the …..

Fertility Age

As the women gets older the incidence of chromosomally abnormal eggs increases dramatically. The mecoha spindle is a critical component of eggs that is involved in organising the chromosome ….

Semen Analysis

All the macroscopic parameters in semen analysis, denote the functional capacity of the necessary male organs namely seminal vesicles, prostate and whether or if the whole tract from testes to the …..

Laparoscopy

In general, semen analysis, hysterosalpingogram, assessment of ovulation and ovarian reserve should be the initial investigations and if no cause of infertility found, laparoscopy should be done.

Male Infertility

Anything that effect the hypothalamus pituitary endocrine system which regulates the sperm production can be detrimental. There are also a wide variety of physical problems like varicocele, ……

Infertility Specialty Doctors

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